Silver Squires Application Form

A Silver Squire donates at least 1 hour per week to serving the community by protecting adults and the elderly from Alzheimer’s disease by playing chess with them. The goal of a Silver Knight is to develop friendships with a minimum of 10 adults or seniors and play chess with them every week. Your commitment is for 1 year. After that time you may renew your Silver Squire commitment if you wish.

Once your application has been approved you will contact and set appointments to go to hospitals, nursing homes, assisted living facilities, senior centers and anywhere you can find adults who want to play chess. Our research shows that in urban areas there may be as many as 40 locations within a 5-mile radius of your home.

You will purchase at least 5 “Quality Chess Set Combos”($50) and at least one Personalized Silver Squire Golf Shirt ($30) available in our store. (About an $80.00 investment). You will give chess sets, chess books, and chess magazines and chess awards to your opponents as needed. The Silver Knights Headquarters will email you detailed instructions on how to specifically play chess with seniors.

In order to present to the public and our students a uniformed program, the documents used in the program may not be changed without written confirmation from The Silver Knights National Headquarters in Scottsdale Arizona. That being said, we are always open to suggestions from our Silver Squires as to improvements to any aspect of the program.

The Vigil

The Silver Knights’ Code of Chivalry

Defense - The Silver Squire is sworn by oath to defend the elderly against the monster called Alzheimer’s.

Joy - Bring happiness to those you serve, for many are going through difficult times.

Generosity - Be generous in so far as your resources allow. Give a little if you only have a little. Give a lot of you have a lot.

Humility - Value first the contributions of others; do not boast of your own accomplishments, let others do this for you.

Courage - Being a Squire often means choosing the more difficult path, the personally expensive one.

Truth - Speak always the truth. To lie is to dishonor yourself, and the powers of Good.

Loyalty - Be known for unwavering commitment to the people and ideals you choose to live by.

Faith - A Silver Squire must have faith in his beliefs, for faith roots him and gives hope against the despair that human failings create.

Righteousness - Seek to emulate everything I have spoken of as sincerely as possible, not for the reason of personal gain but because it is right.

Courtesy - Treat all, but especially the elderly with kindness and tenderness. Honor them for they richly deserve your respect.

Nobility - Seek great stature of character by holding to the virtues and duties of a Silver Squire, realizing that though the ideals cannot be reached, the quality of striving towards them ennobles the spirit, growing the character from dust towards the heavens.

I have read The Silver Knights’ Code of Chivalry and I will strive to the best of my ability to uphold these ideals.

First Name

Middle

Last

Street Address

US City

US State Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareColumbia (District of)FloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Phone

Alternate Phone/Cell Phone

Email Address

Date Of Birth (Example: 01/25/1969)

USCF Rating

I have no USCF Rating

What kind of chess player do you consider yourself?      Beginner Intermediate Advanced

Are you willing to work up to at least 1 hour per week performing the duties as a Silver Squire?      Yes No

What is the highest grade you have achieved?      High school 2 year college 4 year college Post graduate work

Do you have any experience teaching chess?      Yes No

If yes, then please explain where and when:

Name and phone number of supervisor:

Do you have any experience with the elderly?      Yes No

If yes, then please explain where and when:

Are you presently working?      Yes No

Retired?      Yes No

If working please give your position, supervisor’s name and phone number:

Please list any special skills or personal characteristics that you believe will help you in teaching chess to adults and the elderly.

Would you be willing to teach chess over the computer with our Silver Squires Face-to-Face Computer Chess Course? You will need a cable hookup, a headset/microphone, and a Webcam.      Yes No

Please explain in detail why you want to become a Silver Squire.

Resume Upload (optional) Allowed extensions: zip,pdf,txt,doc Maximum Filesize: 84288 bytes

I agree to not change any of the materials emailed to me by the Silver Knights National Headquarters without prior signed consent from the National Head of the Silver Knights.

Copyright Notice Also, you are not to use the name "Silver Knights" or our logo in any other documents other than the “Official Silver Knight Documents” we email to you.